15D2037726 CLIA NUMBER - WALGREENS #05344

Laboratory Demographics

  • CLIA Code: 15D2037726
  • Facility Name: WALGREENS #05344
  • Facility Address: 10211 CHESTNUT PLAZA DR
    FORT WAYNE, IN
    ZIP 46814
  • Facility Phone: 260 625-4831
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALMANI YOUSEF
  • NPI Number: 1154336295
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2037726
LAB Type Pharmacy
Facility Name WALGREENS #05344
Street 10211 CHESTNUT PLAZA DR
City FORT WAYNE
State IN
ZIP 46814
Phone 260 625-4831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director ALMANI YOUSEF

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This page was last updated on: 9/29/2025